Description

Overview: Medical Coder role primarily involves assigning ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes to medical diagnoses and procedures. The coder will be responsible for accurately reviewing outpatient/inpatient medical charts and ensuring compliance with coding and customer guidelines while maintaining a high accuracy rate of 97% or above within set turnaround times. Key Responsibilities: Medical Chart Review & Coding: Assigning appropriate ICD-10 and CPT codes based on patient diagnoses and procedures. Compliance & Accuracy: Ensuring codes adhere to regulatory policies, guidelines, and customer-specific requirements. Claim & Documentation Review: Verifying medical documentation, identifying insufficient or unclear information, and following up with payers if needed. Quality Assurance: Maintaining high levels of coding accuracy (97%+) and keeping up with industry updates through coding meetings and training sessions. Research & Problem-Solving: Handling complex or unusual coding cases by searching for relevant information. Desired Skills & Qualifications: Experience in HCC Coding: Prior expertise in Hierarchical Condition Category (HCC) coding is a plus. Coding Experience: Required 1-3 years of experience in the field US Healthcare Knowledge: Understanding of US healthcare regulations, client-specific process rules, and compliance requirements. Technical Proficiency: Strong knowledge of ICD-10, CPT coding procedures, anatomy, physiology, and medical terminology. Communication Skills: Ability to communicate effectively both orally and in writing.

Role and Responsibilities

• Overview: Medical Coder role primarily involves assigning ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes to medical diagnoses and procedures. The coder will be responsible for accurately reviewing outpatient/inpatient medical charts and ensuring compliance with coding and customer guidelines while maintaining a high accuracy rate of 97% or above within set turnaround times. Key Responsibilities: Medical Chart Review & Coding: Assigning appropriate ICD-10 and CPT codes based on patient diagnoses and procedures. Compliance & Accuracy: Ensuring codes adhere to regulatory policies, guidelines, and customer-specific requirements. Claim & Documentation Review: Verifying medical documentation, identifying insufficient or unclear information, and following up with payers if needed. Quality Assurance: Maintaining high levels of coding accuracy (97%+) and keeping up with industry updates through coding meetings and training sessions. Research & Problem-Solving: Handling complex or unusual coding cases by searching for relevant information. Desired Skills & Qualifications: Experience in HCC Coding: Prior expertise in Hierarchical Condition Category (HCC) coding is a plus. Coding Experience: Required 1-3 years of experience in the field US Healthcare Knowledge: Understanding of US healthcare regulations, client-specific process rules, and compliance requirements. Technical Proficiency: Strong knowledge of ICD-10, CPT coding procedures, anatomy, physiology, and medical terminology. Communication Skills: Ability to communicate effectively both orally and in writing.